@danielopazo on GrepMed

$Another Takotsubo. 68F actually presented after some very joyous news in contrast to the usual 'broken heart$

Another Takotsubo. 68F actually presented after some very joyous news in contrast to the usual 'broken heart syndrome'. - Medlife Crisis (Rohin) @MedCrisis #Clinical #POCUS #Echocardiogram #A4c #Takotsubo #Cardiomyopathy #BrokenHeart #Syndrome

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Differential diagnosis of Lymphangitic Carcinomatosis. On the left multiple diseases showing septal thickening: 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral, in 50% adenopathy, known carcinoma. 2. Cardiogenic pulmonary edema: bilateral abnormalities, filling of alveoli, enlarged heart, rapid response to diuretics, ground-glass opacity due to filling of alveoli with fluid, gravitational distribution of the alveolar fluid. 3. Lymphangitic carcinomatosis. 4. Lymphangitic carcinomatosis with hilar adenopathy and thickening of the central bronchovascular interstitium. 5. Alveolar proteinosis: sharply demarcated secondary lobeles with ground glass attenuation as opposed to secondary lobules with normal aeration, superimposed inter and intralobular septal thickening (crazy paving). 6. Cardiogenic pulmonary edema. #Clinical #Radiology #Pulmonary #CTChest #LymphangiticCarcinomatosis #Lymphangitic #Carcinomatosis #Mimic #Differential #Comparison #Table #RadiologyAssistant

Algorithm for nodular pattern The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following: - Look for the presence of pleural nodules. These are often easiest to see along the fissures. - If pleural nodules are absent or few in number, the distribution is likely centrilobular. - If pleural nodules are visible, the pattern is either random (miliary) or perilymphatic. - If there are pleural nodules and also nodules along the central bronchovascular interstitium and along interlobular septa, you are dealing with a periplymphatic distribution. - If the nodules are diffuse and uniformly distributed, it is likely a random distribution. #Diagnosis #Radiology #Pulmonary #HRCT #CTChest #NodularPattern #Nodular #Pattern #MultipleNodules #Nodules #Differential #Algorithm #RadiologyAssistant

Notice that there are multiple densities in both lungs. The larger ones are ill-defined and maybe there is an air-bronchogram in the right lower lobe. Probably we are dealing with multifocal consolidations, but one might also consider the possibility of multiple ill-defined masses. There is a peripheral distribution. This patient had a several month history of chronic non-productive cough, that did not respond to antibiotics. So we are dealing with the differential diagnosis of chronic consolidation. The lab-findings were normal which makes bronchoalveolar carcinoma and lymphoma less likely. There was no eosinophilia, which excludes eosinophilic pneumonia. Biopsy revealed the diagnosis of organizing pneumonia (OP) also known as BOOP. #Clinical #Radiology #CXR #Peripheral #Distribution #Organizing #Pneumonia #OrganizingPneumonia #BOOP #RadiologyAssistant

Focused Abdominal Aorta Ultrasound - Transducer positions for aortic scan. Proximal (A), Mid-aorta (B), Distal (C), and Longitudinal (D) #EM #Radiology #Vasc #POCUS #AAA #Transducer #Positioning #ALiEM

Ultrasound - Focused Assessment with Sonography in Trauma (FAST) - Probe Orientation #EM #Trauma #Radiology #POCUS #FAST #FASTExam #Orientation #Locations #Positioning #ALiEM

Checking Invasive Devices Using Chest X-Rays - Dr. Alex Psirides @psirides #Diagnosis #Anatomy #Radiology #CriticalCare #Lines #Devices #Tubes #Placement #ChestXRays #CXR #Positioning

Transducer location to evaluate the popliteal vein and normal ultrasound images showing popliteal artery (A) and fully compressible vein (V). #Clinical #Diagnosis #EM #Radiology #Vasc #POCUS #DVT #Popliteal #Positioning #ALiEM

Transducer location to evaluate the femoral vein and normal ultrasound images showing common femoral artery (A) and fully compressible vein (V). #Clinical #Diagnosis #EM #Radiology #Vasc #POCUS #DVT #Femoral #Positioning #ALiEM

Undifferentiated shock - Algorithm for the Evaluation of Hypotension. This process for the evaluation of hypotension in the emergency department was developed by Dr. Ravi Morchi. In the case above, a systematic approach to the evaluation of hypotension using ultrasonography and appropriately detailed physical examination may have expedited the patient’s care. The expertly-designed algorithm traverses the cardiovascular system, halting at evaluable checkpoints that may contribute to hypotension. #Diagnosis #Undifferentiated #Hypotension #Evaluation #POCUS #EKG #Algorithm #Ddxof